RONALD A WIEDNER Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****19

License Status

NOT RENEWED

Business

First Name

RONALD A

Last Name

WIEDNER

Business Name

RONALD A WIEDNER

Original Issue Date

07/31/1996

Effective Date

04/15/2002

Expiration Date

03/31/2002

City

FAIRVIEW HEIGHTS

State

Zip

62208

County

SAINT CLAIR

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

09/11/2005